{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:30:58Z","timestamp":1788280258155,"version":"build-2803163510"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T00:00:00Z","timestamp":1734998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Guangdong Provincial Medical Science and Technology Research Fund","award":["A2023356"],"award-info":[{"award-number":["A2023356"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NeuroRehabilitation: An International, Interdisciplinary Journal"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stroke is recognized as the second primary cause of mortality and disability worldwide. Cognitive dysfunction often remains a residual issue post-stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the impact of integrating scalp acupuncture with iTBS therapy on cognitive impairments post-stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was a randomized, controlled, single-blind trial. Fifty-four patients completed the study and were allocated into the SA group, iTBS group, and combined group using a random number table method. The SA group received scalp acupuncture treatment for 4 weeks, the iTBS group underwent intermittent theta burst stimulation for 4 weeks, and the combined group received both scalp acupuncture and iTBS treatments for 4 weeks. All enrolled patients also received standard pharmacological and conventional rehabilitation treatments, six days a week, for four weeks in total. Cognitive function was evaluated using the Montreal Cognitive Assessment (MoCA) and the Mini-Mental State Examination (MMSE) before treatment (baseline) and after treatment (4 weeks). Additionally, changes in cerebral hemodynamics during the experiment were measured using functional near-infrared spectroscopy (fNIRS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Scalp acupuncture therapy, iTBS therapy, and the combination of scalp acupuncture with iTBS therapy all significantly activated the cortical regions of the frontal and temporal lobes in patients with Post-Stroke Cognitive Impairment No Dementia (PSCIND) (\n                      <jats:italic>P\u2009<\/jats:italic>\n                      &lt;\u20090.05). Compared to scalp acupuncture or iTBS therapy alone, the combined therapy activated more channels, with more significant activation in the right Superior Temporal Cortex (r-STC), right Ventrolateral Prefrontal Cortex (r-VLPFC), Medial Prefrontal Cortex (mPFC), left Ventrolateral Prefrontal Cortex (l-VLPFC), right Superior Frontal Cortex (r-SFC), and left Dorsolateral Prefrontal Cortex (l-DLPFC) (\n                      <jats:italic>P\u2009<\/jats:italic>\n                      &lt;\u20090.05). The combined therapy enhances cognitive functions in PSCIND patients, exhibiting superior clinical effectiveness compared to either scalp acupuncture or iTBS therapy when used individually (\n                      <jats:italic>P\u2009<\/jats:italic>\n                      &lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The combination of scalp acupuncture with iTBS therapy represents a novel and promising neurorehabilitation treatment technique for post-stroke cognitive impairment. Future clinical research is needed to explore its therapeutic mechanisms and further refine this technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538135241303348","type":"journal-article","created":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T03:03:51Z","timestamp":1735009431000},"page":"152-163","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Based on fNIRS Technology: The Effects of Scalp Acupuncture Combined with iTBS on Cognitive Function After Stroke"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5360-9221","authenticated-orcid":false,"given":"Lida","family":"Zhong","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Yue Bei People's Hospital, Shaoguan, Guangdong, 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China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Bao","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Yue Bei People's Hospital, Shaoguan, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shouhuang","family":"Lan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, The Second People's Hospital of Lechang City, Lechang, Guangdong, 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